Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.72 / $644.72 / $644.72	Facility		$644.72	$644.72	$644.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $448.86 / $718.17	Professional		$244.96	$448.86	$718.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $643.07 / $643.07 / $643.07	Professional		$643.07	$643.07	$643.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.21 / $263.38 / $280.17	Facility		$250.21	$263.38	$280.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.91 / $295.91 / $295.91	Professional		$295.91	$295.91	$295.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $1,357.03	Professional		$484.22	$663.31	$1,357.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $691.00 / $4,017.59	Facility		$244.96	$691.00	$4,017.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $490.93 / $1,095.38	Professional		$252.96	$490.93	$1,095.38
United Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $427.75 / $584.71	Professional		$285.17	$427.75	$584.71